150425-A-BK746-173 PUERTO BARRIOS, Guatemala (April 25, 2015) Lt. Jefrey Smith, a dentist assigned to Naval Health Center Great Lakes, Ill., preforms a tooth extraction on a patient at a medical site set up in a sports complex in Puerto Barrios during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Army photo by Spc. Lance Hartung/Released)